Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $7.41 / $331.13	Facility		$3.47	$7.41	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.47	Professional		$3.02	$3.02	$4.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $7.41 / $22.39	Facility		$3.72	$7.41	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.89 / $6.61	Professional		$3.47	$3.89	$6.61
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Facility		$3.47	$3.47	$3.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $3.47	Facility		$3.24	$3.24	$3.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $3.72	Professional		$3.47	$3.47	$3.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $3.47	Facility		$3.24	$3.24	$3.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $5.13	Professional		$3.47	$3.47	$5.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.27 / $5.01	Professional		$3.47	$4.27	$5.01
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $5.37 / $7.41	Professional		$3.16	$5.37	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $4.47	Professional		$3.47	$3.47	$4.47